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Recent Reviews
Medi-Cal - Medi-Cal and HSA
I have Medi-Cal currently. I just got hired at a job that would make me ineligible for it.
I tried cancelling my Medi-Cal but they're asking for proof of salary or something of the sorts. I still have not gotten paid but I will be paid biweekly and I have 30 days to enroll myself into the work benefits. If I submit the proof, am I still able to enroll into HSA from my job and not get into any trouble? Not sure at what point they will kick me off of the MediCal benefits after I send them an employment letter or whatever proof they want to see.
Aetna CVS Health - Aetna CVS Health Silver 10 Advanced (HMO)
I don’t know if this is the right flair, so I apologize if it isn’t. I’m 26F living in Florida. This is my first time trying to navigate health insurance, so my parents helped me find a plan that would let me keep my doctors and cover my prescriptions (major ones being my neurologist and migraine prescriptions, which are only brand-name).
My pharmacy called and said they needed one my prescriptions authorized, so I called my neurologist’s office to have them authorize it. My insurance just took effect this month, so I was also going to update it with the office. We did a search on the Aetna CVS Health portal and my doctor was listed as being in-network, but I was informed that they aren’t. They take Aetna, just not my policy. Because they’re not in-network, they can process the authorization.
I guess the online portal isn’t accurate… or maybe something is lost in translation? Is there a definitive way to find providers that will take my insurance? Does anyone else even have any experience with the policy in general?
Florida Blue Cross - Doctor sent sample to out of network lab
I asked the Doc to send a simple urine sample to Quest. My insurance covers 100% labs with Quest. Today I see on my Florida Blue Cross account they sent it to a different lab and my portion is $3170. What to do?
Blue Shield - Automatically enrolled in Medi-Cal and had previous insurance canceled
Hi. I was recently informed that my Covered California Blue Shield insurance was canceled because I was automatically enrolled in medi-cal despite not applying. I’m currently employed so not sure why this happened. I paid out of pocket for my previous insurance because it covered a very important medical procedure that I need. I am really desperate to reactivate my old insurance because it’s very rare to get health coverage for this specific treatment. The clinic said it’s very surprising that Blue Shield covered it. I have been told to go to the county office and request medi-cal be canceled. Should I have an easy time reactivating my old insurance afterwards? Thank you.
Blue Cross Blue Shield - Need surgery- as of YESTERDAY hospital stopped contracting with BCBS
I recently had a life event (job) that allowed me to change my plan. I chose blue cross blue shield options, because the doctor I need to get a surgery from is in network with them! As of yesterday the hospital in Dallas is not in contract with blue health blue shield anymore.... would this be enough to qualify for another life changing event? This doctor is one of the few specialists that preform this micro nerve surgery. I heard soemtimes hospitals and insurance companies come to agreement and they will start accepting my insurnace again.
Blue Cross Blue Shield - Friend in Texas in a serious predicament due to sudden loss of in-network doctors
My friend in Texas lost her job a year ago and has been on BCBS healthcare through the market place. She suffers from a severely resistant rheumatoid arthritis and her biologics also caused her serious side effects of gut dysmotility and weak immune system.
Just yesterday, she told me that she lost all access to her PCP , gasteroenterologist, orthopedic surgeon and psychiatrist, all of which are part of Southwestern Texas Health resources that have been battling withy BCBS over the contracts and stuff. She is applying for jobs left and right but we know how bad job markets are right now.
What on earth is she supposed to do? All the doctors she has been seeing are out of network in other available health care plans.
Anthem - Help- adding a dependent to account
This may be an easy fix but I’m all kinds of jumbled and need someone to explain it to me like I’m 5.
I have Anthem Pathways through the marketplace. We used a company to help us get that insurance. So already my mind is boggled…so many moving parts.
I have an account on Anthem that lets me see EOBs for myself. These EOBs are important because I use them to upload to the company I mentioned before in order to get reimbursed through my workplace. Still with me?
I want to be able to add my son’s EOBs because that will help us reach our family OOP faster. Problem is, I haven’t been receiving his EOBs. I figured I would add him as a dependent on my Anthem account and could get those.
No such luck. After looking and looking for a way to do this, I emailed Support. They told me that since I have a plan through marketplace, I need to call something called the Exchange?? What is that?? And that they will review something, send it over to Anthem, and then I can put my son on and see all his info.
Please break this down for me. What does it all mean? What do I need to do in order to get his EOBs? Why is this all so effing complicated?
I hope I gave enough info. Please let me know if there is something missing that could help me.
Thank you so much in advance.
United - How do people get surprise insurance claims??
I am in a situation where I need a surgery so will 100% hit my out of pocket maximum.
The max, 8K, is fortunately something we can readily afford. The only thing that scares me are all the scary stories about how they get completely screwed over for supposedly covered procedures and are in debt tens of thousands at once.
What I do to prevent this possibility or are those detrimental stories are from people who do not have any coverage???
My insurance is with United.
Blue Cross Blue Shield - BCBS terminated policy due to non-payment of $0.00
Long story short, I got a bcbs plan through the marketplace last month and I kept getting bills for $0.00 saying I needed to pay or my policy would be canceled. The first time I got a bill for that amount I went online and paid a penny. Then I got another bill for the same amount of $0.00. I figured it was nothing to worry about. Fast forward to today, I have a doctors appointment tomorrow, and I get hit with an email saying my policy with bcbs has been terminated due to non-payment. Non-payment of what? Nothing? Why?
Aetna - Question for those getting insurance through Marketplace
I live in Texas and have seen the reports about BCBS. I have Aetna insurance, purchased through Marketplace, and today I found out that my primary care provider, physical therapy, and pain management specialist are no longer in-network although they were a week ago. My PCP did not even know that the contract with Aetna was no longer valid - she found out while trying to set up a referral for me. Is this a fluke or is something bigger going on with Marketplace insurance?
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